Are you male or female? |
Male |
Female |
How old are you?(enter age in years) |
_______________________________ |
In what month were you born? |
_______________________________ |
Are you left handed or right handed? |
Left |
Right |
Are you left eye dominant or right eye dominant? |
Left |
Right |
Can you roll your tongue? |
No |
Yes |
Are your ear lobes attached or unattached? |
Attached |
Unattached |
What does PTC paper taste like to you? |
Bitter |
No Taste |
What is the pattern of the fingerprint on your left index finger? |
Plain Arch Radial Loop Ulnar Loop Whorled |
Tented Arch Double Loop Central Loop Accidental |
How quickly did you react to a falling ruler? (enter centimeter mark where you caught the ruler) |
_______________________________ |